Provider Demographics
NPI:1962689356
Name:DEPENDABLE NURSING SERVICES,LLC
Entity Type:Organization
Organization Name:DEPENDABLE NURSING SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:UGBOAKU
Authorized Official - Middle Name:EZINNA
Authorized Official - Last Name:ESOCHAGHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-444-5500
Mailing Address - Street 1:6310 FAIR OAKS AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21214-1120
Mailing Address - Country:US
Mailing Address - Phone:410-444-5500
Mailing Address - Fax:410-444-5378
Practice Address - Street 1:6310 FAIR OAKS AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21214-1120
Practice Address - Country:US
Practice Address - Phone:410-444-5500
Practice Address - Fax:410-444-5378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-28
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2098251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD5554535 00Medicaid